NOTICE: This property is privately owned. The camper accepts camping privileges with the understanding that he / she does hereby release the Campground, its officers and employees of all liability for loss or damage to property and injury to his / her person arising out of his use of its camping facilities, and agrees to indemnify the Campground, its officers and employees, against claims resulting from loss or damage to property or injury to the person of any member of the family or guest of the registered camper arising out of the use of its camping facilities. The driver of the vehicle listed above agrees to abide by all of the Campground Rules (see below). The driver also agrees and understands that should the driver or any passengers of the above listed vehicle be found in violation of the rules, that they may be required to immediately vacate the premises without a refund. The driver of the vehicle listed above also understands and agrees that if he/she should be asked to vacate the premises and are found to be intoxicated and unable to drive, that the vehicle listed above will be towed at the owner’s expense. The driver of the vehicle listed above also agrees and understands that check-out time is 11AM on the day of departure. If guests and/or belongings of the camping site listed above do not vacate the site by the assigned time, the “Party Leader” in your group may incur additional charges and/or have their vehicles towed at the owner’s expense.

Camp Dakota is not responsible for items left behind. Items left in campsites will be assumed to be abandoned if not claimed within 30 days. Storage fees may be incurred. Unclaimed items will be donated to charity after 30 days. The driver of the vehicle listed above also understands and agrees that they will be held financially responsible for damages to Camp Dakota property caused either by themselves or by passengers in the above listed vehicle. The “Party Leader” is otherwise defined as the person who reserved the site, unless otherwise indicated on the above form and rental agreement. If the above listed driver is the “Party Leader”, he/she agrees to be financially responsible for any damages to Camp Dakota property in the campsite listed above. This includes damage to foliage, trees, fire rings, yurts and their content, cabin tents and their contents, tee pees, etc.

• This is a family park – please keep your language G-rated • Alcohol may be consumed by responsible adults 21+ and must remain in campsites

• Parking permits required for all overnight vehicles. No vehicle are allowed off designated roads or campsites • No cutting of live trees or vegetation

• Guests who refuse to follow these rules may be asked to immediately vacate the premises & not be refunded • Guest who refuse or unable to leave when asked for reasons of intoxication or other reasons may be charged with trespassing and have their vehicle(s) towed at the expense of the vehicle owner(s)

A signed copy of this waiver will be sent to the email address you provide.

Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*

Camping Reservation Details

Arrival Date *

Departure Date *

Site Number *

Vehicle Information

Vehicle Make *

Model *

Color *

Plate Number *

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.